# "It’s Never Just Lyme": Dr. Casey Kelley on Co-Infections, POTS & What Actually Heals

Page: https://stenobird.com/podcast/the-lyme-podcast-7049299/it-s-never-just-lyme-dr-casey-kelley-on-co-infections-pots-what-actually-heals
Text version: https://stenobird.com/podcast/the-lyme-podcast-7049299/it-s-never-just-lyme-dr-casey-kelley-on-co-infections-pots-what-actually-heals.md
Podcast: [The Lyme+ Podcast](https://stenobird.com/podcast/the-lyme-podcast-7049299)
Published: 2025-10-18T19:39:54+00:00
Episode link: https://podcasters.spotify.com/pod/show/lymeplus/episodes/Its-Never-Just-Lyme-Dr--Casey-Kelley-on-Co-Infections--POTS--What-Actually-Heals-e39m61c
Audio file: https://anchor.fm/s/fb769cc8/podcast/play/109827564/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-9-17%2Fc3241e9a-ce14-cdf2-af9a-ddf2e7f02255.mp3
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Duration seconds: 2689

## Resource

Functional-medicine physician Dr. Casey Kelley, MD (Case Integrative Health) joins hosts Dan Wagner and Kenzie Vath to unpack why chronic Lyme is rarely “just Lyme.” We dig into co-infections (Babesia, Bartonella) , POTS/dysautonomia , mold + MCAS , nervous-system regulation, and the biggest myths about testing and treatment. Dr. Kelley explains when antibiotics vs. herbs make sense (minocycline, rifampin/rifabutin, malarone/tafenoquine, dapsone, pulsing strategies), why gut + liver support determine tolerance, and how diet (gluten/dairy/sugar) , vagus nerve work , and 80/20 consistency accelerate recovery. We also cover long-COVID overlap , ILADS clinician training , and what a “medical detective” intake actually looks like.If you or a loved one is navigating persistent Lyme symptoms, this episode offers actionable next steps, and hope. Quick takeaways ​ It’s rarely just Lyme. Co-infections, mold, and MCAS commonly overlap. ​ Protocols are personalized. Antibiotics and herbs both have a place; tolerance and gut health decide the pace. ​ Foundations first. Removing gluten, dairy, sugar + consistent stress regulation often unlock progress. ​ Nervous system > everything. Breathwork and vagus-nerve inputs calm inflammation loops. ​ Clinician training matters. ILADS offers a path for complex-illness care. ​ Case Integrative Health (Chicago): discovery calls, team-based care ​ ILADS : fundamentals, preceptorships, international conferences ​ Groundwork for Healing (Dr. Kelley’s course): diet, sleep, stress, detox basics ​Tools: Apollo Neuro , compression, high-salt hydration (for POTS) TickTock Naturals — Organic Insect Repellent Protect your crew from ticks, mosquitoes, and spiders —without synthetic chemicals. TickTock Naturals is organic, cruelty-free (PETA-certified), e…

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